Click the links below to access provider resources such as online claim transaction guides, manuals/handbooks and newsletters. These resources will assist you in working with WellCare. 

• Claims Updates
  This page provides updates on WellCare's claims processes, ensuring that provider claims are handled efficiently.
           
• Clinical Coverage Guidelines
  Clinical Coverage Guidelines (CCG) are evidence-based documents detailing the medical necessity of given procedures or technologies. The guidelines set consistent criteria for the coverage of a procedure or technology, leading to greater consistency and efficiency in clinical decision making.
   
• Provider Manuals
  The Provider Manual is a resource for physicians with guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide and the online tools available through the secured area of our Web site.
   
• Provider Quick Reference Guides
  Quick Reference Guides are resources that contain WellCare contact information and authorization guidelines. Please refer to the versions on this site to ensure you are using the most current information.
   
• Provider Newsletters 
  WellCare produces newsletters to update providers on information related to pharmaceuticals, cost and quality of care or share tips on how to perform better and more efficient business with the plan. The newsletters are also used to highlight recent successes, such as accreditations and quality scores.
   
• Provider Job Aids
  Job aids are step-by-step work instructions on how to perform daily tasks with WellCare.
   
• Medicare Brochures
  These brochures provide valuable information about WellCare's processes and services.  
  All About WellCare
  Case and Disease Management
  PaySpan Health: Health Care Payment and Remittance Advice
  Provider Responsibilities
  What is Managed Care?  
   
• Quality Improvement Provider Toolkits (Florida only)
  The Quality Improvement Provider Toolkits contain useful tools for managing patient care based on industry-standard clinical practice guidelines.
   
• WellCare Web Capabilities 
  This Job Aid gives an overview of the WellCare Web site's capabilities that may be used to further ease your interactions with WellCare.